MR imaging in evaluation of the temporomandibular lateral disc displacement in patients with posterior occlusion

2007
journal article
article
dc.abstract.enBackground: The aim of this work was to assess the usefulness of MR imaging in the evaluation of temporomandibular lateral disc displacement in patients with posterior occlusion and the significance of the results of MRI in the diagnosis and treatment of posterior occlusion. Material/Methods: Imaging evaluation was performed to 80 temporomandibular joints in 40 patients with posterior occlusion, of both sexes, at the age of 16-35, prior to orthodontic treatment. The imaging technique used for the evaluation of temporomandibular joints was magnetic resonance using the Signa Horizon 1.5 T System (GEMS) during rest occlusion. The evaluation was focused on bony structures of the joint and its posterior ligament. The type of joint was defined as intermediate in case of the articular tuberculum of a semicircular shape, shallow - in case of horizontally elongated ellipse, and deep - in case of vertically elongated ellipse. The symmetry of the articular space as well as the alignment of the articular disc in the frontal plane was also evaluated. The obtained data were presented in form of figures and graphs and analysed using the statistics software - BMDP New System 2.0. Results: In patients with posterior occlusion, the so-called intermediate type of temporomandibular joint was found to be the most common, whereas the symmetrical articular space occurred in 33.7% of cases. The rate of narrowed retrodiscal region was 61.2%, which was a statistically significant difference in comparison with the control group. The assessment of position of the disc in the frontal plane during occlusion revealed 12.6% of medial displacement and 6.2% of lateral displacement. Statistically significant differences between the study group and the control group were found concerning the disc position during occlusion assessed in the frontal plane (χ2=9.564; p=0.008). Statistically significant differences were confirmed concerning the width and symmetry of the articular space between the two groups - the persons with posterior occlusion and the control group (χ2=24.174; p=0.0001). In persons with posterior occlusion no significant correlation was found between the type of the joint and the position of the articular disc during occlusion in the frontal plane, that is the lateral and medial displacement (χ2=2.529; p=0.640). Correlation was found between the type of the joint and its symmetry, narrowed or widened articular space in the retrodiscal region (χ2=15.54; p<0.004). Conclusions: Diagnostic efficacy of the magnetic resonance imaging was found in the evaluation of temporomandibular joints in case of posterior occlusion. Based on the obtained results we believe that in MR of occlusion defects T2-weighted sequences can be excluded, as the application of only T1- and PD-weighted sequences is sufficient.pl
dc.affiliationWydział Lekarski : Zakład Radiologiipl
dc.affiliationWydział Lekarski : Instytut Stomatologiipl
dc.contributor.authorSztuk, Stanisław - 133602 pl
dc.contributor.authorUrbanik, Andrzej - 133713 pl
dc.contributor.authorKwapińska, Halinapl
dc.contributor.authorDubis, Anna - 173912 pl
dc.contributor.authorPaciorek, Anna - 214351 pl
dc.contributor.authorSzafirska, Małgorzata - 133550 pl
dc.contributor.authorSiegel, Renatapl
dc.date.accession2019-06-05pl
dc.date.accessioned2019-06-05T15:44:49Z
dc.date.available2019-06-05T15:44:49Z
dc.date.issued2007pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. 56pl
dc.description.number1pl
dc.description.physical51-56pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume72pl
dc.identifier.articleid468410pl
dc.identifier.eissn1899-0967pl
dc.identifier.issn1733-134Xpl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/76656
dc.identifier.weblinkhttp://archiwum.inforadiologia.pl/download/index/idArt/468410.htmlpl
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.entemporomandibular jointpl
dc.subject.enlateral and medial disc displacementpl
dc.subject.enMR imagingpl
dc.subject.enposterior occlusionpl
dc.subtypeArticlepl
dc.titleMR imaging in evaluation of the temporomandibular lateral disc displacement in patients with posterior occlusionpl
dc.title.journalPolish Journal of Radiologypl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
Background: The aim of this work was to assess the usefulness of MR imaging in the evaluation of temporomandibular lateral disc displacement in patients with posterior occlusion and the significance of the results of MRI in the diagnosis and treatment of posterior occlusion. Material/Methods: Imaging evaluation was performed to 80 temporomandibular joints in 40 patients with posterior occlusion, of both sexes, at the age of 16-35, prior to orthodontic treatment. The imaging technique used for the evaluation of temporomandibular joints was magnetic resonance using the Signa Horizon 1.5 T System (GEMS) during rest occlusion. The evaluation was focused on bony structures of the joint and its posterior ligament. The type of joint was defined as intermediate in case of the articular tuberculum of a semicircular shape, shallow - in case of horizontally elongated ellipse, and deep - in case of vertically elongated ellipse. The symmetry of the articular space as well as the alignment of the articular disc in the frontal plane was also evaluated. The obtained data were presented in form of figures and graphs and analysed using the statistics software - BMDP New System 2.0. Results: In patients with posterior occlusion, the so-called intermediate type of temporomandibular joint was found to be the most common, whereas the symmetrical articular space occurred in 33.7% of cases. The rate of narrowed retrodiscal region was 61.2%, which was a statistically significant difference in comparison with the control group. The assessment of position of the disc in the frontal plane during occlusion revealed 12.6% of medial displacement and 6.2% of lateral displacement. Statistically significant differences between the study group and the control group were found concerning the disc position during occlusion assessed in the frontal plane (χ2=9.564; p=0.008). Statistically significant differences were confirmed concerning the width and symmetry of the articular space between the two groups - the persons with posterior occlusion and the control group (χ2=24.174; p=0.0001). In persons with posterior occlusion no significant correlation was found between the type of the joint and the position of the articular disc during occlusion in the frontal plane, that is the lateral and medial displacement (χ2=2.529; p=0.640). Correlation was found between the type of the joint and its symmetry, narrowed or widened articular space in the retrodiscal region (χ2=15.54; p<0.004). Conclusions: Diagnostic efficacy of the magnetic resonance imaging was found in the evaluation of temporomandibular joints in case of posterior occlusion. Based on the obtained results we believe that in MR of occlusion defects T2-weighted sequences can be excluded, as the application of only T1- and PD-weighted sequences is sufficient.
dc.affiliationpl
Wydział Lekarski : Zakład Radiologii
dc.affiliationpl
Wydział Lekarski : Instytut Stomatologii
dc.contributor.authorpl
Sztuk, Stanisław - 133602
dc.contributor.authorpl
Urbanik, Andrzej - 133713
dc.contributor.authorpl
Kwapińska, Halina
dc.contributor.authorpl
Dubis, Anna - 173912
dc.contributor.authorpl
Paciorek, Anna - 214351
dc.contributor.authorpl
Szafirska, Małgorzata - 133550
dc.contributor.authorpl
Siegel, Renata
dc.date.accessionpl
2019-06-05
dc.date.accessioned
2019-06-05T15:44:49Z
dc.date.available
2019-06-05T15:44:49Z
dc.date.issuedpl
2007
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. 56
dc.description.numberpl
1
dc.description.physicalpl
51-56
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
72
dc.identifier.articleidpl
468410
dc.identifier.eissnpl
1899-0967
dc.identifier.issnpl
1733-134X
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/76656
dc.identifier.weblinkpl
http://archiwum.inforadiologia.pl/download/index/idArt/468410.html
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.enpl
temporomandibular joint
dc.subject.enpl
lateral and medial disc displacement
dc.subject.enpl
MR imaging
dc.subject.enpl
posterior occlusion
dc.subtypepl
Article
dc.titlepl
MR imaging in evaluation of the temporomandibular lateral disc displacement in patients with posterior occlusion
dc.title.journalpl
Polish Journal of Radiology
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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